New accreditation will be available shortly. When available, participants completing this online, self-paced, staged CME curriculum, composed of five courses grounded in a proven model of HIV primary care integration, earn a certificate of proficiency in HIV primary care integration.
HealthHIV developed the STEP (Staged Training to Educate Providers) ModelTM for HIV integration in primary care in response to limited existing models of HIV testing and care.
The model provides a staged framework for integration of HIV care into primary care. At its core, this dynamic model classifies community health centers and other primary care delivery sites, based upon where they fall in the spectrum of HIV care delivery.
The Stages of HIV Care were informed by the Health Services and Resource Administration’s HIV/AIDS Bureau Guidelines for HIV Clinical Care as well as various State HIV care plans and the WHO clinical staging for HIV/AIDS for Adults and Adolescents.
The Models of HIV Care were informed by using the National Association of Community Health Center’s “Integrating HIV Screening into Routine Primary and Dental Care: A Health Center Model” and the Centers for Disease Control and Prevention’s Program Collaboration and Service Integration Framework.
This activity has been designed to meet the educational needs of primary care providers (Medical Doctors, or Doctors of Osteopathic Medicine, Nurse Practitioners, and Physician Assistants) and other healthcare professionals who are responsible for caring for patients at-risk for or infected with HIV.
After completing each activity, the participant should be better able to:
Activity 1: HIV Management in Primary Care – Foundations Course
|° Describe HIV surveillance data and the implications for individual and public health° Discuss the natural history of HIV disease and the implications for individual and public health ° Explain the differences between risk-based and “opt-out” HIV screening and summarize the current recommendations ° Utilize the most appropriate HIV test in different clinical settings ° Summarize methods to reduce HIV transmission|
Activity 2: Core Skills for HIV Management in the Primary Care Setting
|° Identify appropriate patients and methods to screen for HIV ° Describe methods to assess patients’ willingness and readiness to begin antiretroviral therapy ° Review considerations in selecting initial antiretroviral therapy ° Discuss methods to assess and promote adherence to antiretroviral therapy|
Activity 3: Considerations in the Management of HIV in Older Adults
|° Identify common comorbidities in older adults with HIV ° Describe the potential impact of long-term antiretroviral therapy on cardiometabolic risk and other comorbidities ° Design a strategy to manage both antiretroviral therapy and cardiometabolic risk factors in patients with HIV ° Implement evidence-based methods to encourage smoking cessation in patients with HIV|
Activity 4: Improving Communication in the Clinical Setting
|° Assess patients’ health literacy and health beliefs° Employ evidence-based techniques to foster open patient-provider communication ° Describe methods for coordination of care between primary care and specialist settings ° Identify barriers to patient adherence in HIV-infected individuals and methods to overcome these barriers|
Activity 5: Assessment and Treatment Decisions in HIV/HCV Coinfection
|° Identify indications for the treatment of chronic HCV infection and reasons to consider delaying HCV treatment in patients with HIV/HCV coinfection ° Explain the reported safety and efficacy of currently available treatments for HCV in patients coinfected with HIV ° List HCV/HIV drug combinations to avoid based on potential for drug-drug interactions ° Select guidelines-recommended monitoring for patients being treated for HCV/HIV coinfection|